Premier Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIER CARE HOSPICE INC

Practice address

600 N Mountain Ave Ste C205D
Upland, CA 91786-4315

Phone

(562) 221-3781

NPI assigned

Jun 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Fernando Amado Clenista

Title

Ceo

Phone

(562) 221-3781

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1053988287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "562-221-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "562-221-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "CLENISTA",
        "authorized_official_first_name": "FERNANDO AMADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-221-3781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.